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Catalyst Portal
New Leader/User Request
Client User Update Form
Please use this form to request a new user for Catalyst Portal
Client Facility Name
(Required)
New User Name
(Required)
New User Email Address
(Required)
Is this new user replacing an existing user?
(Required)
Yes
No
If yes, please list the name of this user
Virtual Training Academy Access
(Required)
Yes
No
Will this user need access to the Virtual Training Academy (VTA)?
Cost centers for which this user is responsible for
(Required)
Leadership Reporting Structure (VP, Manager, Director)
(Required)
Please include names, titles, and emails
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